PMID- 23726596 OWN - NLM STAT- MEDLINE DCOM- 20131230 LR - 20130603 IS - 1873-2623 (Electronic) IS - 0041-1345 (Linking) VI - 45 IP - 4 DP - 2013 May TI - Increased plasma tissue inhibitors of metalloproteinase concentrations as negative predictors associated with deterioration of kidney allograft function upon long-term observation. PG - 1458-61 LID - S0041-1345(13)00327-8 [pii] LID - 10.1016/j.transproceed.2013.02.109 [doi] AB - Chronic allograft injury (CAI) is the most frequent cause of progressive kidney allograft impairment and eventual loss, which is due to interstitial fibrosis and tubular atrophy (IF/TA). Mechanisms of CAI are not fully understood. Chemokines, cytokines, metalloproteinases (MMPs), and tissue inhibitors of metalloproteinases (TIMPs) play roles in fibrosis development. The aims of this study were to evaluate plasma and urine TIMPs (TIMP-1 and TIMP-2), MMPs (MMP-2 and MMP-9), proinflammatory interleukin-6 (IL-6), chemokine (C-C motif) ligand 2 (CCL2 chemokines previously known as monocyte chemoattractant protein-1 [MCP-1]) among 150 recipients beyond 1 year post-renal transplantations and to explore the usefulness of these potential biomarkers of ongoing allograft injury. Renal transplant recipients compared with healthy volunteers (control group) showed significantly increased plasma and urine IL-6, MMP-9, TIMP-1, and TIMP-2, as well as lower plasma MMP-2 and urine CCL2 concentrations. Compared with recipients showing good function those with impairments displayed higher plasma TIMP-1 (P < .001) and TIMP-2 (P = .003) concentrations. The recipient estimated glomerular filtration rate (eGFR) values negatively correlated with plasma TIMP-1 and TIMP-2 levels (r = -0.43; P < .0001 and rs = -0.42; P < .0001, respectively) and with urine IL-6 excretion (rs = -0.33; P < .0001). Multivariate and receiver operating characteristic (ROC) analyses showed TIMP-1 plasma level assessments to be useful estimates of allograft injury. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Mazanowska, O AU - Mazanowska O AD - Department of Nephrology and Transplantation Medicine, Wroclaw Medical University, Wroclaw, Poland. o.mazanowska@gmail.com FAU - Kaminska, D AU - Kaminska D FAU - Krajewska, M AU - Krajewska M FAU - Banasik, M AU - Banasik M FAU - Zabinska, M AU - Zabinska M FAU - Koscielska-Kasprzak, K AU - Koscielska-Kasprzak K FAU - Biecek, P AU - Biecek P FAU - Chudoba, P AU - Chudoba P FAU - Patrzalek, D AU - Patrzalek D FAU - Boratynska, M AU - Boratynska M FAU - Klinger, M AU - Klinger M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Transplant Proc JT - Transplantation proceedings JID - 0243532 RN - 0 (Tissue Inhibitor of Metalloproteinases) SB - IM MH - Adult MH - Female MH - Glomerular Filtration Rate MH - *Graft Rejection MH - Humans MH - *Kidney Transplantation MH - Male MH - Middle Aged MH - Tissue Inhibitor of Metalloproteinases/*blood EDAT- 2013/06/04 06:00 MHDA- 2014/01/01 06:00 CRDT- 2013/06/04 06:00 PHST- 2012/11/26 00:00 [received] PHST- 2013/02/08 00:00 [revised] PHST- 2013/02/27 00:00 [accepted] PHST- 2013/06/04 06:00 [entrez] PHST- 2013/06/04 06:00 [pubmed] PHST- 2014/01/01 06:00 [medline] AID - S0041-1345(13)00327-8 [pii] AID - 10.1016/j.transproceed.2013.02.109 [doi] PST - ppublish SO - Transplant Proc. 2013 May;45(4):1458-61. doi: 10.1016/j.transproceed.2013.02.109.